Active NPI
Aaron Michael Ruderman
- Neurology Physician
- Lincolnwood, IL
National Provider Identifier
1265012553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- PENDING
- Practice address
- 6425 N Kilpatrick Ave
Lincolnwood, IL 60712-3416 - Phone
- (847) 612-4182
- NPI assigned
- Apr 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | PENDING | IL | Primary |
Addresses
Primary practice location
6425 N Kilpatrick Ave
Lincolnwood, IL 60712-3416
Mailing address
6425 N Kilpatrick Ave
Lincolnwood, IL 60712-3416
Phone (847) 612-4182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Interoperability endpoints
- aruderman115476@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618099200000",
"number": "1265012553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 N KILPATRICK AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123416",
"telephone_number": "847-612-4182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 N KILPATRICK AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123416",
"telephone_number": "847-612-4182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDERMAN",
"first_name": "AARON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-11",
"last_updated": "2021-04-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.